TEJONI JOHNSON
NPI 1093505109
Physician Assistant in Chicago, IL

Active since May 12, 2025PECOS Enrolled
1430 N BOSWORTH AVE APT 1, CHICAGO, IL 60642(707) 849-5624 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tejoni Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEJONI JOHNSON (NPI 1093505109) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093505109
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTEJONI JOHNSON
Location Address1430 N BOSWORTH AVE APT 1Chicago, IL 60642-7598
Mailing Address1430 N Bosworth Ave Apt 1Chicago, IL 60642-7598 · (877) 860-2837
Sole ProprietorYes
Enumeration DateMay 12, 2025
NPPES CertifiedMay 11, 2025
✔ NPI 1093505109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1430 N BOSWORTH AVE APT 1, Chicago, IL 60642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tejoni Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1430 N BOSWORTH AVE APT 1
CHICAGO, IL 60642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tejoni Johnson's NPI number?

The NPI number for Tejoni Johnson is 1093505109. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Tejoni Johnson located?

Tejoni Johnson practices at 1430 N Bosworth Ave Apt 1, Chicago, IL 60642. The listed phone number is (707) 849-5624.

What is Tejoni Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tejoni Johnson enrolled in Medicare?

Yes. Tejoni Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tejoni Johnson was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.